Hi everybody...
I am giving my Gp till tomorrow to agree to prescribe the B12 injections I need, and if no joy I am going to have to resort to ordering online.
Where is the best place to order from? I have found it on Amazon..is this where everyone is buying it from? Also what size needles do I need and where from?
I get needles from medisave . There are other sites just as good.
Needle size depends on if you intend to inject IM or SC.
Also the first b12 njection shoujd be in a medical setting.
A sharos Box wil also be needed.
If you use the Search .
Plenty of posts on self injecting
Hope your Gp agrees you need them
With your symptoms sns low b12 why have they not started the b12 injections??
Hi..I have got my Gp to agree to a further 3 injections over the next 2 weeks while he waits to hear back from a neurologist and haematologist 😀
Well done!
We usually get out B12 ampoules from German online pharmacies , in particular from versandapo.de The favourite brand used is Panpharma B12 depot .( Hydroxocobalamin) This is because it is low priced and comes in 1mg x 1ml size .The Hevert ampoules are 1mg x 2ml , so it the same dosage but in 2ml saline . — more liquid to inject .
But the above pharmacy has had problems in stocking it lately .
Hevert is fine . I have used it in the past . €18 is a shockingly high price for a pack of 10 Probably cheaper on the German pharmacy .
Here is a bit of detailed information for you which might be useful .
HELP FOR PERNICIOUS ANAEMIA/B12 DEFICIENT PATIENTS AND OTHERS WISHING TO SELF-INJECT B12
ALWAYS MAINTAIN STRICT HYGIENE WHEN SELF-INJECTING .
WHERE TO OBTAIN SINGLE-USE B12 DEPOT ( Hydroxocobalamin) AMPOULES
As B12 ampoules are strictly prescription only items in the U.K. we have to obtain our ampoules from reliable German online pharmacies, which are strictly controlled by the German Health authorities . These ampoules are an over-the-counter ( OTC) item in Germany ( thank goodness for their wisdom!) But only obtainable from pharmacies .
Every pharmaceutical item has its own reference number on the pharmacy site , so it’s easy to use those numbers to get straight to the item you need ,without searching .
Depending on what you want to order, here are the reference numbers to use in your search .
PANPHARMA ( previously known as Rotexmedica )
A packet of 10 ampoules of B12 Depot ( Hydroxocobalamin)
1mg x 1ml Ref no. 16199653.
Panpharma do not sell the 100 ampoule packs any longer.
The Panpharma are the most popular ampoules .
HEVERT -Packet of 10 ampoules 1mg x 2ml ref no 06078368
HEVERT Packet of 100 single-use ampoules 10 x 10 packets ref no. 06078380
PASCOE -Pack of 10 ampoules 1.5 mg x 1ml ref no 07568672
PASCOE Pack of 100 ampoules ((10 x 10 packs) Ref no 07568695
Here are German online pharmacies that will ship to the U.K. by courier usually DHL FOR €9.89 no matter how many you buy .
versandapo.de ( it is in German , so you might need Google Chrome or a translation app)
If you ask, or email this pharmacy if they send B12 ampoules to UK, they will say “no” , because they will say that are not allowed to send a pharmaceutical item to a country where that item is a prescription only item ( which is the case for B12 injectable ampoules in the U.K. ) This is correct in essence, because so many drugs are prescription only, for a very good reason .
This does not apply to B12 , for we know it is not dangerous , and cannot be overdosed . In Germany , it is an over the counter item anyhow . So , you can obtain B12 ampoules from some German online pharmacies . But do follow the instructions .
It’s really best to register . You will save time with subsequent ordering ,and they have a points system if you register . 200 points when you first order , and one point for every Euro that you spend . When you have 250 points , that represents €2.50 which you can use against your next purchase .
You register and subsequently sign in by clicking on the head and shoulders silhouette ( top right on my iPad)
When filling out the address form , it is important to FIRST OF ALL SELECT YOUR COUNTRY FROM THE DROP-DOWN LIST. The U.K. is shown in German as VEREINIGTES KÖNIGREICH . (United Kingdom) So click on that and then the computer will accept your postal code and the rest of your address . If you don’t do this , your address will not be accepted .
You need to pay with PayPal ( easily obtained online ) or bank transfer. Free of charge with online banking . £25.00 at your bank !Versandapo.de does not accept card payments from U.K.
juvalis.de is another German online pharmacy that will ship to U.K.
These sites are in German so you might need Google Chrome or a translation app.
amazon.de ( German Amazon) is available in English ( click on the globe to change language) On my iPad it is at the bottom of the page.
You cannot use the Pharmaceutical reference numbers when ordering from amazon.de
amazon.de does not supply Panpharma ampoules.
They do supply HEVERT and PASCOE .
When you get the ampoules, they need to be kept dark and under 25 Celsius .I keep mine in the top shelf in the door of my fridge . It’s the warmest spot . On no account should the ampoules be frozen .
NEEDLES, SYRINGES , SWABS AND YELLOW SHARPS DISPOSAL BINS .Obtainable from ———————-
For I.M. injections. ( Intra Muscular ) I use a long coarse needle to withdraw the B12 from the ampoule into the syringe . I use 21G x 1 1/2 inches.
Use a 25G x 1inch needle for the actual injection .
A 2ml syringe is needed to get every last drop of precious B12 out of a 1ml ampoule .
For a subcutaneous injection ( sub-cut) use a fine short needle - 30G x 1/2 inch . I have not used this method , so look up instructions on the internet.
If you look at the packaging , you will see that sub-cut is a recommended method of injecting B12 .
SO FIRST WASH YOUR HANDS, AND PLACE YOUR INJECTION ITEMS ON A FRESH PIECE OF KITCHEN TOWEL
Open the ampoule at its weakest point shown as a spot on the neck . Wrap a swab round the ampoule to avoid nasty cuts
Failing that buy an ampoule opener (Amazon smile and choose Pernicious Society as your charity ) There are plastic ones and sturdy metal ones .
If you are Needle -phobic , there is help in the shape of a device known as an “Auto-Injector “ available from a Danish Company
I don’t use one , but you could enquire about it from members . I know that some do use this device .
There are others , but I don’t have any information. But don’t buy needles or syringes if you are thinking about it .The device takes specific sizes for different sizes
If you are sensitive , a numbing cream is obtainable from Amazon .
I use I.M.method for injecting. I use my thighs ( the outer middle third ) That muscle is called the VASTUS LATERALIS . I swap thighs each time I inject.
If you wish to inject sub-cut , please look it up on the Internet ( I believe it’s the tummy fat and the whole front of the thigh)
If you are injecting with B12 for the first time , please have someone with you, in case of anaphylactic shock ( like some people have after a bee-sting ) It is really very rare , but I feel obliged to tell you .
Do not worry about overdosing on B12 . You cannot . It’s a proven fact .
I’ve been self-injecting for 8 years , but I still remember shaking like a leaf 🍃when I injected for the first time ! Now it’s just routine.
Remember to include a good quantity of Vitamin B9 in your diet ( green leafy veg) It works together with B12 . It’s called folate in food and folic acid in a tablet. You could take a modest 400 mcg tablet daily. ( these are recommended in pregnancy . ) You cannot overdose on folate in food , but you can overdose on folic acid in tablets .
TO INJECT INTRAMUSCULARLY
Flick the ampoule to get all the B12 into the bottom .Open it by either wrapping a swab around it to avoid cutting yourself , or use an ampoule opener . Break it at the weakest point , which is marked with a spot on the neck of the ampoule
Use a 2ml syringe .(with a 1ml syringe ,it’s impossible to get every last drop of precious B12 out of the ampoule!) Fix the withdrawing needle on the end of the syringe . Pull out the plunger on the syringe and SLOWLY inject air into the ampoule . Now pull out the plunger and all the precious B12 will be sucked up into the syringe . Now take off the withdrawing needle and replace it with the injection needle .. Now gently press out the air in the syringe , until a tiny bead of red B12 appears on the needle tip. 💉
YOU ARE NOW READY TO INJECT INTO THE VASTUS LATERALIS MUSCLE. ( it’s nearest the surface of your thigh in the middle outside third of your thigh - look up info online .There are also diagrams of the thigh and the muscle ) Inject at 90 degrees .
For sub cut please refer to internet , as I’ve not used this method , or ask members on the forum .
After injecting please dispose of needles into a yellow sharps bin . When full, ask your local council how you can dispose of the full bin . Disposal varies in different areas . I can take mine to a local chemist .
Sometimes Pernicious Anaemia Patients suffer with “gut” problems , tummy pain and bloating etc . This happens because P.A. patients have low or no stomach acid . Hypochlorhydria/ Achlorhydria. ( due to the destruction of their parietal cells by the Intrinsic Factor antibodies ) The intrinsic factor is also destroyed . This low acid environment allows bad bacteria to flourish, which upsets the flora ( good bacteria ) in the stomach . Some P,A. patients find that taking an acidic drink like diluted organic cider -apple vinegar , lime / lemon juice with meals ,especially protein meals , really helps this .
The greatest help for my “gut” problems was a probiotic called Symprove , a water-based liquid . But there are probiotic capsules The probiotic encourages the growth of the good stomach flora . Also good to take after a course of anti-biotics , which destroy all bacteria good and bad .
Natural probiotics work well e.g. Organic sauerkraut , real yoghurt, kimchi and kefir .
Since getting the B12 treatment I need by getting adequate B12 injections, and the probiotic Symprove, the gut problems have disappeared . I no longer need Symprove ..
It is a good idea to eat smaller meals more often if one has low stomach acid ( as Pernicious Anaemia patients do ). Also chew food very thoroughly, giving the enzymes in saliva a good chance to start the breakdown of the food .
In severe cases of very low or no stomach acid ( Hypochlorhydria / Achlorhydria ) a capsule called Betaine Hydrochloric acid with pepsin will increase the acid in the stomach .( Amazon smile) Taken at mealtimes , can be used , but best to ask a nutritionist about dosage . It will vary according to how much stomach acid you have . There are instructions about dosage online .
A modest multi-vitamin and mineral tablet can also be helpful , as a low acid stomach is not good at breaking down our food to make minerals and vitamins available for absorption.
STOMACH ACID IS VERY IMPORTANT. WE NEED IT TO BREAK DOWN OUR FOOD , SO THAT WE CAN ABSORB ITS NUTRIENTS .
WELL DONE -YOU’VE MADE IT !
MY BEST WISHES TO YOU !
Thankyou so much for all your wonderful advice.. at the moment I have managed to get my gp to agree to a further 3 injections over the next 2 weeks while he waits to hear back from another neurologist and haematologist. I did tell him today that if he didn't agree to more injections I would be ordering them online.
I am hoping that both specialists come back with the correct advice.
He did message a neurologist last week.. but the reply he received back was useless
b12 depot ampoules availability
B12 Depot Hevert Ampoules 
Where to get B12 ampoules
How to open B12 ampoules! 
B12 100 Ampoules for €57.98
